腹部超声与阴道超声在异位妊娠诊断中的价值

摘要

Objective: To compare the value of transabdominal ultrasound (TAS) and transvaginal ultrasound (TVS) in the diagnosis of ectopic pregnancy and improve the early diagnosis of cctopic pregnancy.Methods: To analyze the clinical data of 237 cases of ectopic pregnancy in our hospital from June 2005 to June 2009 retrospectively, compared positive diagnosis rate of two ultrasound methods.Results: 91 cases were given TAS examination of which 74 cases diagnosed, the positive diagnosis rate was 81.3％; 80 cases were given TVS examination of which 75 cases diagnosed, the positive diagno -sis rate was 93.8％, 66 cases were given TVS and TAS examination of which 65 cases diagnosed, the positive diagnosis rate was 98.5％.Conclusion: Thc diagnosis rate of ectopic pregnancy of TVS is more accurate than TAS, their combination can increase the positive diagnosis rate.%目的:比较经腹部超声(TAS)与经阴道超声(TVS)在异位妊娠诊断中的价值,提高异位妊娠的早期诊断率.方法:对我院2005年6月～2009年6月收治的237例异位妊娠患者进行回顾性分析,比较两种超声检查方法的阳性确诊率.结果:237例中,91例经 TAS检查诊断异位妊娠74例,阳性确诊率为81.3%;80例经 TVS检查诊断异位妊娠75例,阳性确诊率为93.8%,66例经 TAS和 TVS联合诊断异位妊娠65例,阳性确诊率为98.5%.结论:TVS比TAS诊断异位妊娠更准确,两者联合应用能有效提高阳性确诊率.